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Provider Manuals > Ordered Ambulatory > Archive

Free Standing or Hospital Based Ordered Ambulatory Manual Archive

Below are the previous versions of the Ordered Ambulatory Manual.


Version Manual Document Change Notes

2023 - 9


Archived October 2, 2023

Fee Schedule (XLS 287KB)

 

2023 - 8


Archived September 22, 2023

Fee Schedule (XLS 287KB)

 

2023 - 7


Archived September 1, 2023

Fee Schedule (XLS 287KB)

 

2023 - 6


Archived August 8, 2023

Fee Schedule (XLS 287KB)

 

2023 - 5
2023 - 1


Archived July 31, 2023

Fee Schedule (XLS 284KB)
Procedure Codes (PDF 1548KB)

 

2022 - 1


Archived May 26, 2023

Procedure Codes (PDF 1142KB)

 

2023 - 4


Archived May 15, 2023

Fee Schedule (XLS 285KB)

 

2023 - 3


Archived February 13, 2023

Fee Schedule (XLS 284KB)

 

2023 - 2


Archived January 30, 2023

Fee Schedule (XLS 285KB)

 

2023 - 1


Archived January 24, 2023

Fee Schedule (XLS 290KB)

 

2022 - 12


Archived December 22, 2022

Fee Schedule (XLS 287KB)

 

2022 - 11


Archived November 4, 2022

Fee Schedule (XLS 286KB)

 

2022 - 10


Archived October 19, 2022

Fee Schedule (XLS 286KB)

 

2022 - 9


Archived October 5, 2022

Fee Schedule (XLS 285KB)

 

2022 - 8


Archived Septmeber 7, 2022

Fee Schedule (XLS 285KB)

 

2022 - 7


Archived August 16, 2022

Fee Schedule (XLS 285KB)

 

2022 - 6


Archived August 10, 2022

Fee Schedule (XLS 285KB)

 

2022 - 5


Archived August 2, 2022

Fee Schedule (XLS 284KB)

 

2022 - 4


Archived July 13, 2022

Fee Schedule (XLS 325KB)

 

2022 - 3


Archived July 5, 2022

Fee Schedule (XLS 325KB)

 

2022 - 2


Archived June 30, 2022

Fee Schedule (XLS 323KB)

 

2011 - 1 (6/1/2011)


Archived March 27, 2022

Billing Guidelines (PDF 904KB)

 

2022 - 1
2021 - 2


Archived April 19, 2022

Fee Schedule (XLS 326KB)
Procedure Codes (PDF 1134KB)

 

2021 - 10


Archived March 11, 2022

Fee Schedule (XLS 319KB)

 

2021 - 9


Archived September 30, 2021

Fee Schedule (XLS 319KB)

 

2021 - 8


Archived September 7, 2021

Fee Schedule (XLS 318KB)

 

2021 - 7


Archived August 26, 2021

Fee Schedule (XLS 318KB)

 

2021 - 6


Archived August 2, 2021

Fee Schedule (XLS 319KB)

 

2021 - 5


Archived July 21, 2021

Fee Schedule (XLS 319KB)

 

2021 - 4


Archived July 9, 2021

Fee Schedule (XLS 319KB)

 

2021 - 3
2021 - 1


Archived July 1, 2021

Fee Schedule (XLS 317KB)
Procedure Codes (PDF 1127KB)

 

2021 - 2
2020 - 2


Archived April 27, 2021

Fee Schedule (XLS 306KB)
Procedure Codes (PDF 1104KB)

 

2021 - 1


Archived February 9, 2021

Fee Schedule (XLS 306KB)

 

2020 - 9


Archived January 4, 2021

Fee Schedule (XLS 307KB)

 

2020 - 8


Archived October 19, 2020

Fee Schedule (XLS 306KB)

 

2020 - 7
2020 - 1


Archived September 4, 2020

Fee Schedule (XLS 307KB)
Procedure Codes (PDF 991KB)

 

2020 - 6
2019 - 1


Archived August 17, 2020

Fee Schedule (XLS 305KB)
Procedure Codes (PDF 988KB)

 

2020 - 5

Archived June 1, 2020

Fee Schedule (XLS 305KB)

 

2020 - 4

Archived May 12, 2020

Fee Schedule (XLS 309KB)

 

2020 - 3

Archived April 30, 2020

Fee Schedule (XLS 302KB)

 

2020 - 2

Archived March 24, 2020

Fee Schedule (XLS 301KB)

 

2020 - 1

Archived March 13, 2020

Fee Schedule (XLS 296KB)

 

2019 - 2

Archived January 13, 2020

Fee Schedule (XLS 296KB)

 

2018 - 1

Archived March 22, 2019

Procedure Codes (PDF 1067KB)

 

2019 -1 (01/01/19)

Archived March 22, 2019

Fee Schedule (XLS 291KB)

 

2018 -3 (04/01/18 v.2)

Archived December 27, 2018

Fee Schedule (XLS 291KB)

 

2018 -2 (04/01/18)

Archived May 7, 2018

Fee Schedule (XLS 291KB)

 

2017 - 1

Archived March 30, 2018

Procedure Codes (PDF 316KB)

 

2018 -1 (01/01/18)

Archived March 30, 2018

Fee Schedule (XLS 289KB)

 

2017 -2 (04/01/17)

Archived December 27, 2017

Fee Schedule (XLS 189KB)

 

2017 -1 (01/01/17)

Archived March 24, 2017

Fee Schedule (XLS 188KB)

 

2016 - 1

Archived March 23, 2017

Procedure Codes (PDF 343KB)

 

2016 - 3 (09/01/16)

Archived December 29, 2016

Fee Schedule (XLS 194KB)

 

2016 - 2 (04/01/16)

Archived September 14, 2016

Fee Schedule (XLS 283KB)

 

2016 - 1 (01/01/16)

Archived March 30, 2016

Fee Schedule (XLS 281KB)

 

2015 - 1 (04/01/15)

Archived March 30, 2016

Procedure Codes (PDF 288KB)

 

2015 - 2 (04/01/15)

Archived December 29, 2015

Fee Schedule (XLS 280KB)

 

2014 - 1 (04/01/14)

Archived April 21, 2015

Procedure Codes (PDF 447KB)

 

2015 - 1 (01/01/15)

Archived April 21, 2015

Fee Schedule (XLS 191KB)

 

2014 - 2 (04/01/14)

Archived March 10, 2015

Fee Schedule (XLS 280KB)

 

2014 - 1 (01/01/14)

Archived April 4, 2014

Fee Schedule (XLS 279KB)

 

2013 - 1 (04/01/13)

Archived April 4, 2014

Procedure Codes (PDF 491KB)

 

2013 - 2 (04/01/13)

Archived January 2, 2014

Fee Schedule (XLS 278KB)

 

2013 - 1 (01/01/13)

Archived April 9, 2013

Fee Schedule (XLS 271KB)

 

2012 - 1 (04/01/12)

Archived April 9, 2013

Procedure Codes (PDF 448KB)

 

2012 - 2 (04/01/12)

Archived January 2, 2013

Fee Schedule (XLS 190KB)

 

2012 - 1 (01/01/12)

Archived April 5, 2012

Fee Schedule (XLS 189KB)

 

2011 - 1 (04/01/11)

Archived April 3, 2012

Procedure Codes (PDF 426KB)

 

2011 - 2 (04/01/11)

Archived December 29, 2011

Fee Schedule (XLS 192KB)

 

2010 - 1 (11/18/10)

Archived June 17, 2011

150003 Billing Guidelines (PDF 3.25MB)  

2011 - 1 (01/01/11)

Archived March 30, 2011

Fee Schedule (XLS 184KB)

 

2010 - 1 (04/01/10)

Archived March 30, 2011

Procedure Codes (PDF 700KB)

 

2010 - 1 (5/31/10)

Archived January 11, 2011

150002 Billing Guidelines (PDF 2.27MB)  

2010 - 1 (04/01/10)

Archived January 5, 2011

Fee Schedule (XLS 182KB)

 

2009 - 3 (12/01/09)

Archived July 19, 2010

Billing Guidelines (PDF 881KB)  

2009 - 1 (04/01/09)

Archived April 1, 2010

Fee Schedule (XLS 183KB)

 

2009 - 1 (04/01/09)

Archived April 1, 2010

Procedure Codes (PDF 207KB)

 

2009 - 2 (10/01/09)

Archived December 3, 2009

Billing Guidelines (PDF 1.30MB)  

2009 - 1 (01/29/09)

Archived October 1, 2009

Billing Guidelines (PDF 1.26MB)  

2008 - 4 (11/11/08)

Archived May 7, 2009

150001 Billing Guidelines (PDF 1.03MB)  

2008 - 1 (04/01/08)

Archived April 1, 2009

Procedure Codes (PDF 209KB)

 

2008 - 1 (03/18/08)

Archived April 1, 2009

Fee Schedule (XLS 168KB)

 

2008 - 3 (06/04/08)

Archived December 4, 2008

Billing Guidelines (PDF 465KB)  

2008 - 2 (01/30/08)

Archived July 24, 2008

Billing Guidelines (PDF 461KB)  

2007 - 1 (04/01/07)

Archived April 11, 2008

Procedure Codes (PDF 101KB)

Update - 1/1/2008 (PDF 22KB)

 

2007 - 1 (04/01/07)

Archived April 11, 2008

Fee Schedule (XLS 162KB)

 

2008 - 1 (01/16/08)

Archived February 06, 2008

Billing Guidelines (PDF 462KB)  

2007 - 1 (05/18/07)

Archived January 18, 2008

Billing Guidelines (PDF 468KB)  

2006 - 2 (11/09/06)

Archived July 13, 2007

Billing Guidelines (PDF 539KB)  

2006 - 1 (4/06)

Archived April 13, 2007

Procedure Codes & Fee Schedule (PDF 1.02MB)  

2006 - 1 (05/06)

Archived December 6, 2006

Billing Guidelines (PDF 536KB)  
2004 - 1 Billing Guidelines (PDF 569KB)  
2005 - 1 (4/05) Procedure Codes & Fee Schedule (PDF 953KB)  


151-7:29:56 AM